Organization
SUSAN D CHARLAMB M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN D CHARLAMB M.D. (OWNER)
(248) 855-5540
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD, SUITE C304, W BLOOMFIELD, MI 48322-3704
(248) 855-5540
(248) 855-4877
Mailing address
5600 W MAPLE RD, SUITE C304, W BLOOMFIELD, MI 48322-3704
(248) 855-5540
(248) 855-4877
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301043021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260F379200
BCBS
MI
Enumeration date
05/08/2007
Last updated
06/23/2010
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